First week fog

I’ve used my CPAP machine for 4 nights. While I do not feel badly, I do feel like I’m in a thick fog for most of the day. My machine provider mentioned REM rebound. Is that what I’m experiencing? How long does it last?

JAH wrote:I do feel like I’m in a thick fog for most of the day.

IMO before treatment is the fog, fog everyday, we just get used to it, it becomes our normal. Now you see the difference, thats all.

JAH wrote:I’ve used my CPAP machine for 4 nights. While I do not feel badly, I do feel like I’m in a thick fog for most of the day. My machine provider mentioned REM rebound. Is that what I’m experiencing? How long does it last?

Education and data is what every hoser needs to get the most out of treatment. Some respond positively immediately, many need to learn to manage their treatment.
The three links below will help.

What are your pressure settings - very often doctors will prescribe a too-low-for-therapy min. setting (the one that counts vs high setting) and we end up having to bump it up by a couple of cms. The doctors just don't understand the machines well and believe even the lowest setting will be adequate to treat even a high level apnea, but in fact the machines can't address events in time - can't catch up - if they're set too low.

Julie wrote:What are your pressure settings - very often doctors will prescribe a too-low-for-therapy min. setting (the one that counts vs high setting) and we end up having to bump it up by a couple of cms. The doctors just don't understand the machines well and believe even the lowest setting will be adequate to treat even a high level apnea, but in fact the machines can't address events in time - can't catch up - if they're set too low.

I agree, and either it being too low or the act of ramping itself, or how long it takes can completely wreck your sleep. in my opnion if you're moving more than half a CM on most nights it's probably set too low. the auto ramping should be more for "atypical nights" like if you have allergies and the pressure needed to go higher than normal... or just whatever random inflamatory event could cause your throat to close easier. Not only that, but on Resmed machines at least no apnea's below 10 seconds are counted... so you could have quite a few less then 10 second apnea's but a low "AHI" score.

#1 Confirm that your therapy is indeed effective as per previously suggested links.
#2 Get your mask to best fit and if that's not good enough, switch masks.
#3 Make adjuments if deemed necessary. There are a few astute data folks here who can make fact based suggestions.
#4 Give yourself time to adjust. Get plenty of sleep while your body/brain is healing from possibly long term assault of untreated apnea. Give your body good nutrition to support the healing process. Assess any meds for possible side effect of daytime sleepiness.

When I first began to get effective cpap treatment, it was like I craved sleep more and more, almost like a hunger craving. That should subside over time if there are no other contributors needing addressed. If it persists, a medical workup might be in order, but maybe you'll not be in that situation. It really is very early in your treatment, and how you feel this early on is not really an indicator of how you'll feel in a few weeks.